Off-site WHS Self-assessment

1. Work Desk Ergonomics Self-Assessment

Question / 1st Instance / Corrective Action Required / Date / 2nd Instance / Corrective Action Required / Date
Are your keying and mouse activities interspersed with a variety of other work tasks? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Are you including micro pauses as a deliberate attempt to reduce tension by relaxing between keyboard operations. Eg: relaxing the hands into the lap whilst waiting for a document to be saved? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Do you perform regular pause exercises during computer operation at least every hour including changing your visual focus? / yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Are you altering your seated posture regularly throughout the day. Eg: reclining whilst on the phone and sitting upright again to key? / No / My posture needs to be altered more often to prevent stiffness and strain / Click here to enter a date. / Yes or No / Click here to enter a date. /
Is your chair high enough or your desk low enough so that your elbows are level with, or slightly higher than your keyboard while you type? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Does your chair have fully adjustable chair height, back rest position and seat tilt? / No / When I am asked to work on a different station sometimes the chair is too high, a footrest would help this situation. / Click here to enter a date. / Yes or No / Click here to enter a date. /
Do you have a stable footrest if your feet are not flat on the floor when sitting? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Does your desk provide adequate clearance for your legs to allow close access to the work task?
  • Minimum depth 550mm
  • Minimum width 800mm
/ Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Is your chin tucked in towards the chest and aligned with the spine rather than poking forward or upwards? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Are the monitor and keyboard aligned and directly in front of you so that you do not twist to reach the keys? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Does your desk top size easily accommodate all work tasks? ( minimum recommendations)
Computer only – 1200 X 900mm
Computer and general clerical – 1500 X 900mm / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Is your office lighting, noise level and temperature, conducive to your comfort and productivity? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /

2. Off-site Workplace Health and Safety Self-Assessment

Question / 1st Instance / Corrective Action Required / Date / 2nd Instance / Corrective Action Required / Date
Is there a working smoke detector? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Is there an ergonomic chair and adequately sized work surfaces? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Is a fire extinguisher readily available? / No / A fire extinguisher will need to purchased / Click here to enter a date. / Yes or No / Click here to enter a date. /
Is a basic first aid kit easily accessible? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Are exits from the work area clear and unobstructed? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Are all electrical cords and appliances safely secured? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Are there any tripping hazards? / No / Click here to enter a date. / Yes or No / Click here to enter a date. /
Are all floor coverings safe and non-slip? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Are there appropriate handrails on any stairs? / No / No stairs on property / Click here to enter a date. / Yes or No / Click here to enter a date. /
Is the lighting appropriate for the work being undertaken? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Is there proper ventilation and adequate heating/cooling? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /

3. Energy and Resource Conservation Self-Assessment

Question / 1st Instance / Corrective Action Required / Date / 2nd Instance / Corrective Action Required / Date
Do you have all your office equipment plugged into a power strip power board? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Is your equipment turned off at the point when not in use? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Do you have ‘sleep mode’ enabled on your desktop computer? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Is your computer monitor low energy? / No / Will need to adjust this setting / Click here to enter a date. / Yes or No / Click here to enter a date. /
Do you have low energy lights in your office? / No / Click here to enter a date. / Yes or No / Click here to enter a date. /
Do you turn off lights when you leave the room? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Do you close off unused rooms in the day to contain heating or air conditioning? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Do you recycle your office paper and packaging? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Do you reuse printed paper for draft printing or scrap paper? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Do you use a reusable cup for your coffee or tea? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Do you recycle your ink cartridges? / No / I will make a habbit of recycling the cartridges from now on / Click here to enter a date. / Yes or No / Click here to enter a date. /
Do you print only what you need to and read most of your work on screen? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /

4. Work Organisation Self-Assessment

Question / 1st Instance / Corrective Action Required / Date / 2nd Instance / Corrective Action Required / Date
Is rotation of tasks used to avoid repetitive work? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Is work planned to reduce periods of high and low demand? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Are there sufficient rest breaks? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Is workspace adequate to enable ease of movement? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Are work items that are regularly used within easy reach? / Yes / Click here to enter a date. / Yes or No / Click here to enter a date. /
Australian Business and Management Network
Version: 1 / Page | 1 of 6